Provider Demographics
NPI:1851384739
Name:SPIRO, DIANA BETH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DIANA
Middle Name:BETH
Last Name:SPIRO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 FIRST ST
Mailing Address - Street 2:SUITE 1020
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-1676
Mailing Address - Country:US
Mailing Address - Phone:703-975-4400
Mailing Address - Fax:
Practice Address - Street 1:1321 DUKE ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-3507
Practice Address - Country:US
Practice Address - Phone:703-739-1316
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV16717183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist